Entity Name: | DR. G'S URGENT RADIOLOGY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 14 Mar 2023 (2 years ago) |
Document Number: | L23000132107 |
FEI/EIN Number | 99-2758075 |
Mail Address: | 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445 |
Address: | 1383 S. Military Trail, Deerfield Beach, FL, 33442, US |
ZIP code: | 33442 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1629807771 | 2024-07-29 | 2024-10-03 | 1425 S CONGRESS AVE, DELRAY BEACH, FL, 334456384, US | 1383 S MILITARY TRL, DEERFIELD BEACH, FL, 334427634, US | |||||||||||||||
|
Phone | +1 954-928-9622 |
Fax | 5612741930 |
Authorized person
Name | MYLISSA GRABER |
Role | OWNER |
Phone | 5613309363 |
Taxonomy
Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GRABER MYLISSA | Agent | 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445 |
Name | Role | Address |
---|---|---|
GRABER MYLISSA | Manager | 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 1383 S. Military Trail, Deerfield Beach, FL 33442 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
Florida Limited Liability | 2023-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State